Gracee Pharmacy PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011430 Issued in MI

Legal business name

GRACEE PHARMACY PLLC

Practice address

11825 Woodward Ave
Highland Park, MI 48203-3575

Phone

(313) 733-4523

Fax

(313) 305-7375

NPI assigned

Jul 24, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Isaiah Okoh, RPHNPI 1417176751

Title

Pic

Phone

(313) 733-4523

Specialties & licenses 1

Addresses

Tax ID family

Gracee Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gracee Pharmacy PLLC

  • Community/Retail Pharmacy
  • Dearborn, MI
  • NPI 1659970184
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isaiah Etuonu Okoh, R.PH.

  • Pharmacist
  • Detroit, MI
  • NPI 1417176751
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1295212124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033575",
            "telephone_number": "313-733-4523",
            "fax_number": "313-305-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033575",
            "telephone_number": "313-733-4523",
            "fax_number": "313-305-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEE PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "OKOH",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "313-733-4523",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia Maryfrancis Gilbert
• Susan Glaze, CPSS
• Shirley Glenn, ASSOCIATES
• Alisa Joy Gordon, LPN
• Treva Lynette Gordon, RN
• Gloria Lee Graves, B.S.
• Aryanna Gray
• Sonseearay Green, RN
• Charisse L Griffin
• Niteah V. Griffin

• Community/Retail Pharmacy in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.